August 2017

Volume 25 Issue 8

Editorial Staff

Clinical Editor
Morton Kern, MD
Executive Editor
Laurie Gustafson
Managing Editor
Rebecca Kapur
Production Manager
Elizabeth Vasil

Editorial Correspondence

Rebecca Kapur, Managing Editor, Cath Lab Digest
HMP Communications, 70 E. Swedesford Rd
Suite 100, Malvern PA 19355
Telephone: (440) 717-0418

Fax: (866) 896-8762
Our cardiology group performs more than 85% of cases via the radial approach. The radial program is one of the jewels in the Bon Secours St. Francis Health System crown. The entire lab is oriented towards radial access and our same-day discharge prog…
This article describes seven deadly sins related to cath lab operations management. Many cath labs globally suffer from most of these sins. For a medium-sized cath lab with four procedure rooms, the yearly potential loss is equivalent to 2,400 cases…
Nitroglycerin produces significant coronary vasodilation, increasing vessel caliber and to a lesser extent, flow responses, and at the same time, reduces afterload (systemic arterial dilation) and preload due to venodilation. Practically speaking, bo…
There is a specialized group of clients who present an increased challenge to TAVR teams: valve-in-valve cases. Valve-in-valve procedures are best suited for patient who present with regurgitation and/or stenosis of the aortic bioprosthetic valve.
A pressure gradient between donor and recipient arteries represents a physiologic steal. Coronary subclavian steal syndrome (CSSS) occurs when there is reversal of flow from a bypassed coronary artery (commonly the LAD) into the subclavian artery via…
This is an intriguing case of potential simultaneous plaque destabilization in two vascular beds. There are studies that suggest some patients have more than one unstable plaque in different vascular beds.(9) An embolic event should be considered in…
The transradial care pathway program is perhaps the most focused, achievable, and significant opportunity healthcare systems can pursue to achieve success today. 
The time of onset of symptoms to the time the patient presented for the current procedure was over 10 months. Ten months, to a CLI patient, is a lifetime.  With no other endovascular or surgical options other than amputation, an arteriovenous (AV) r…
All successful arrangements have one thing in common — they invest both time and energy in creating an arrangement that has real value to all participants … and one that is adaptable enough to remain relevant well into the future.
In the three-room, high-volume cath lab of Bon Secours St. Francis Health System in Greenville, South Carolina [See CLD’s feature cath lab this month], a highly experienced team of technologists and nurses has developed the Cardio-TRAP (Cardiovascula…